ArticleAmerican journal of preventive medicine2014
Contributors to excess infant mortality in the U.S. South.
Article in American journal of preventive medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed.
- Perinatal Depression and Infant Mortality.JAMA network open · 2026Article
- Article
- Trends and disparities in infant mortality from intrauterine hypoxia and birth asphyxia in the United States, 1999-2023.Frontiers in pediatrics · 2026Article
- County-Level Structural Vulnerabilities in Maternal Health and Geographic Variation in Infant Mortality.The Journal of pediatrics · 2025Article
- Neonatal Mortality Disparities by Gestational Age in European Countries.JAMA network open · 2024Article
- Regional Disparities in the Infant Mortality Rate in Korea Between 2001 and 2021.Journal of Korean medical science · 2023Article
- Sociodemographic Characteristics of HIV-Associated Dementia in the South Carolina Alzheimer's Disease Registry.Southern medical journal · 2023Article
- Dose-response association between maternal smoking during pregnancy and the risk of infant death: a nationwide, population-based, retrospective cohort study.EClinicalMedicine · 2023Article
- A Review of Racial Disparities in Infant Mortality in the US.Children (Basel, Switzerland) · 2022Review
- The association of area deprivation and state child health with respiratory outcomes of pediatric patients with cystic fibrosis in the United States.Pediatric pulmonology · 2021Observational
- Traversing Traditions: Prenatal Care and Birthing Practice Preferences Among Black Women in North Florida.Ethnicity & disease · 2021Article
- Urban-Rural Infant Mortality Disparities by Race and Ethnicity and Cause of Death.American journal of preventive medicine · 2020Article
- Prevalence and Factors Associated With Safe Infant Sleep Practices.Pediatrics · 2019Article
- Examining the relationship between pregnancy and quitting use of tobacco products in a U.S. national sample of women of reproductive age.Preventive medicine · 2018Article
- Race, Income and Insurance Status Affect Neonatal Sepsis Mortality and Healthcare Resource Utilization.The Pediatric infectious disease journal · 2018Article
- The Collaborative Improvement and Innovation Network (CoIIN) to Reduce Infant Mortality: An Outcome Evaluation From the US South, 2011 to 2014.American journal of public health · 2018Article
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- Article
- Article
- Applying Collaborative Learning and Quality Improvement to Public Health: Lessons from the Collaborative Improvement and Innovation Network (CoIIN) to Reduce Infant Mortality.Maternal and child health journal · 2017Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundInfant mortality rates (IMRs) are disproportionally high in the U.S. South; however, the proximate contributors that could inform regional action remain unclear. PURPOSE: To quantify the components of excess infant mortality in the U.S. South by maternal race/ethnicity, underlying cause of death, and gestational age.
methodsU.S. Period Linked Birth/Infant Death Data Files 2007-2009 (analyzed in 2013) were used to compare IMRs between the South (U.S. Public Health Regions IV and VI) and all other regions combined.
resultsCompared to other regions, there were 1.18 excess infant deaths per 1000 live births in the South, representing about 1600 excess infant deaths annually. New Mexico and Texas did not have elevated IMRs relative to other regions; excess death rates among other states ranged from 0.62 per 1000 in Kentucky to 3.82 per 1000 in Mississippi. Racial/ethnic compositional differences, generally the greater proportion of non-Hispanic black births in the South, explained 59% of the overall regional difference; the remainder was mostly explained by higher IMRs among non-Hispanic whites. The leading causes of excess Southern infant mortality were sudden unexpected infant death (SUID; 36%, range=12% in Florida to 90% in Kentucky) and preterm-related death (22%, range= -71% in Kentucky to 51% in North Carolina). Higher rates of preterm birth, predominantly <34 weeks, accounted for most of the preterm contribution.
conclusionsTo reduce excess Southern infant mortality, comprehensive strategies addressing SUID and preterm birth prevention for both non-Hispanic black and white births are needed, with state-level findings used to tailor state-specific efforts.
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